Organization
SOCAL ADOLESCENT WELLNESS, INC.
Active
Parent organization
SOCAL ADOLESCENT WELLNESS, LLC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOCAL ADOLESCENT WELLNESS, LLC.
Authorized official
MR. JAMES SEWELL (COOWNER)
(402) 240-8989
Entity
Organization
Contact information
Practice address
16052 BEACH BLVD STE 135, HUNTINGTON BEACH, CA 92647-3817
(402) 250-8989
Mailing address
7641 TALBERT AVE STE 215, HUNTINGTON BEACH, CA 92648-8617
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
CA
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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